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阿齐沙坦:高血压管理的当前证据与展望

Azilsartan: Current Evidence and Perspectives in Management of Hypertension.

作者信息

Pradhan Akshyaya, Tiwari Ashish, Sethi Rishi

机构信息

Department of Cardiology, King George's Medical University, Lucknow, India.

出版信息

Int J Hypertens. 2019 Nov 3;2019:1824621. doi: 10.1155/2019/1824621. eCollection 2019.

DOI:10.1155/2019/1824621
PMID:31885897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6925743/
Abstract

Hypertension continues to be global pandemic with huge mortality, morbidity, and financial burden on the health system. Unfortunately, most patients with hypertension would eventually require two or more drugs in combination to achieve their target blood pressure (BP). To this end, emergence of more potent antihypertensive drugs is a welcome sign. Angiotensin receptor blockers (ARBs) are cornerstones of hypertension management in daily practice. Among all ARBs, azilsartan is proven to be more potent in most of the head-to-head trials till date. Azilsartan is the latest ARB approved for hypertension with greater potency and minimal side effects. This review highlights the role of azilsartan in management of hypertension in the current era.

摘要

高血压仍然是一种全球性的流行病,给卫生系统带来了巨大的死亡率、发病率和经济负担。不幸的是,大多数高血压患者最终需要联合使用两种或更多药物才能达到其目标血压(BP)。为此,更有效的抗高血压药物的出现是一个好迹象。血管紧张素受体阻滞剂(ARB)是日常高血压管理的基石。在所有ARB中,迄今为止,阿齐沙坦在大多数头对头试验中被证明更有效。阿齐沙坦是最新获批用于高血压治疗的ARB,效力更强且副作用最小。本综述重点介绍了阿齐沙坦在当代高血压管理中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/7d920d4fb2b7/IJHY2019-1824621.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/f76643fe7884/IJHY2019-1824621.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/4046fb63b336/IJHY2019-1824621.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/f0279a520401/IJHY2019-1824621.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/e0e60483595e/IJHY2019-1824621.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/7d920d4fb2b7/IJHY2019-1824621.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/f76643fe7884/IJHY2019-1824621.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/4046fb63b336/IJHY2019-1824621.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/f0279a520401/IJHY2019-1824621.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/e0e60483595e/IJHY2019-1824621.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80fd/6925743/7d920d4fb2b7/IJHY2019-1824621.005.jpg

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本文引用的文献

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Comparison of Effectiveness of Azilsartan Medoxomil and Olmesartan in Blacks Versus Whites With Systemic Hypertension.阿齐沙坦酯与奥美沙坦治疗合并高血压的黑种人与白种人患者的有效性比较。
Am J Cardiol. 2018 Nov 1;122(9):1496-1505. doi: 10.1016/j.amjcard.2018.07.022. Epub 2018 Aug 4.
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3
Gastroprotective Effect of Azilsartan Through Ameliorating Oxidative Stress, Inflammation, and Restoring Hydroxyproline, and Gastrin Levels in Ethanol-Induced Gastric Ulcer.阿齐沙坦通过改善氧化应激、炎症以及恢复乙醇诱导的胃溃疡中羟脯氨酸和胃泌素水平发挥胃保护作用。
J Inflamm Res. 2022 May 11;15:2911-2923. doi: 10.2147/JIR.S365090. eCollection 2022.
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Azilsartan protects against hyperglycemia-induced hyperpermeability of the blood-brain barrier.阿齐沙坦可预防高血糖引起的血脑屏障过度通透。
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Insights into the actions of angiotensin-1 receptor (AT1R) inverse agonists: Perspectives and implications in COVID-19 treatment.血管紧张素-1受体(AT1R)反向激动剂作用的见解:对COVID-19治疗的观点及影响
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A meta-analysis of randomized controlled trials of azilsartan therapy for blood pressure reduction.一项关于阿齐沙坦降压治疗的随机对照试验的荟萃分析。
Hypertens Res. 2014 May;37(5):432-7. doi: 10.1038/hr.2013.142. Epub 2013 Oct 10.